Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06822 | Date 26/08/2022 |
| Token No | SM/22-23/6542 22/11/2022 | Serial | 033 |
| Patient Name | Mrs. KIRAN CHOWDHURY | Contact No | 6289983879 |
| Address | PATUA PARA | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||